Organization
UNITED PHARMACY LLC
Active
Other names
United Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MIKHAIL VESSELOV (PRESIDENT)
(561) 616-9000
Entity
Organization
Contact information
Practice address
3951 HAVERHILL RD N, SUITE 120-121, WEST PALM BEACH, FL 33417-8154
(561) 616-9000
(561) 616-9087
Mailing address
3951 HAVERHILL RD N, SUITE 120-121, WEST PALM BEACH, FL 33417-8154
(561) 616-9000
(561) 616-9087
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH23965
FL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00111500
—
FL
05
—
00111501
—
FL
01
—
1043936
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/26/2009
Last updated
09/27/2019
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